    <div class="grid_container">
        <div class="grid_12">
           <?php echo $this->Form->create('Consultasexterna', array('action'=>'darbajaficha', 'class'=>'form_container left_label valid_tip',)); ?>
            <div class="widget_wrap">
                <div class="widget_top">
                    <span class="h_icon list"></span>
                    <h6>BAJA DE LA FICHA #<?php echo $numeroFicha['Consultasexterna']['number']; ?></h6>
                </div>
                <div class="widget_content">
                    <ul>
                        
                        <li>
                            <div class="form_grid_12">

                                <label class="field_title">Motivo de la baja: </label>
                                <div class="form_input">                                 

                                    <div class="form_grid_9">
                                        <?php echo $this->Form->hidden('idFicha', array('value'=>$numeroFicha['Consultasexterna']['id'])); ?>
                                        <?php //echo $this->Form->text('carnet', array())?>
                                        <?php echo $this->Form->textarea('observaciones', array('cols'=>150, 'rows'=>6)); ?>
                                        <!--<input name="data[codigo]" type="text" class="validate number" tabindex="1"/>-->                                        
                                    </div>

                                    <span class="clear"></span>
                                </div>
                            </div>
                        </li>  
                        
                        <li>
                            <div class="form_grid_12">
                                <div class="form_input">

                                    <button type="submit" class="btn_small btn_blue"><span>Eliminar Ficha</span></button>
                                 
                                </div>
                            </div>
                        </li>
                                                                                                                                            
                    </ul>
                </form>
                <span class="clear"></span>
                </div>
            </div>
        </div>               
</div>